Provider Demographics
NPI:1215110135
Name:COFFIN, RACHAEL (LMHC, LPC)
Entity type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:
Last Name:COFFIN
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 MAIN STREET
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MEDWAY
Mailing Address - State:MA
Mailing Address - Zip Code:02053
Mailing Address - Country:US
Mailing Address - Phone:508-533-4141
Mailing Address - Fax:508-533-4423
Practice Address - Street 1:165 MAIN STREET
Practice Address - Street 2:SUITE 110
Practice Address - City:MEDWAY
Practice Address - State:MA
Practice Address - Zip Code:02053
Practice Address - Country:US
Practice Address - Phone:508-533-4141
Practice Address - Fax:508-533-4423
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007256101YM0800X
MA6286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health